Objective To explore the key management tasks in the implementation of hospital clinical pathways to improve the effectiveness of clinical pathway implementation and provide guarantee for the hospital's Diagnosis Rela-ted Groups(DRG)payment reform.Methods The gray correlation analysis method was used to analyze the cases in-cluded in clinical pathway management in a pulmonary hospital in Wuhan from January to December 2019.Key indi-cators were selected to strengthen management.Clinical pathway-related indicators such as coverage,access rates,average length of stay,and average hospitalization costs before and after management were compared.The rank sum test was used to compare the differences between disease type(group)weight/score(relative weight,RW)interval groups of patients who completed clinical pathway management in 2019,2020 and 2021.Results The factors affec-ting clinical pathway implementation efficiency were ranked from large to small as coverage rate(0.953 4)＞entry rate(0.948 2)＞average length of stay(0.942 5)＞variant completion rate(0.805 8)＞normal completion rate(0.782 8)＞mutation exit rate(0.718 9).After strengthening the management of key tasks,the coverage rate of clini-cal pathway-related indicators,entry rate,and entry completion rate had all increased,and the average length of stay had decreased.The proportion of patients with RW interval grouping ≥2 who completed clinical pathway manage-ment in 2019,2020 and 2021 had increased year by year,and the average hospitalization cost had remained sta-ble.Conclusion Gray correlation analysis helps to clarify the key tasks in the development of clinical pathways,strengthens the management of key indicators,has a good supervisory effect,and further promotes the effective im-plementation of DRG reform.
Grey correlation degree methodClinical pathwayDiagnosis related groups(DRG)
维普
万方数据
